Federal inspection record · CMS data as of October 1, 2026
Mirabella
116 Fairview Avenue N, Seattle, WA · (206) 254-1400
- Certified beds
- 46
- Residents per day
- 34
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 28, 2009
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Mirabella carries 100 inspection points. That is fewer than 42% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning10E
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights8D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Quality of Life and Care7E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2E
- E
Post nurse staffing information every day.
- D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2D
- D
Keep all essential equipment working safely.
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Administration1C
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2025-06-27
15 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-06-28
21 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2023-03-22
12 health deficiencies · 24 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 36 min of nursing staff time a day, 1 h 44 min of it from a registered nurse.
This home
4 h 36 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$18,148 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-29 | Fine | $9,870 |
| 2025-06-27 | Payment Denial · 12 day denial | $0 |
| 2025-05-14 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better | 100.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.9 pts worse | 8.5% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.2 pts better | 5.7% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.8 pts worse | 10.4% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.5 pts better | 0.0% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15 pts better | 0.0% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts better | 10.8% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.1% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts worse | 4.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts worse | 29.6% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts worse | 13.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 99.0% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 19.1% | 19.7% | 23.4% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bentley, Meredith | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Bentley, Meredith | Adp Of The SNF · Individual | 0% | 3 facilities |
| Bouman, Alice | Corporate Officer · Individual | 0% | 1 facilities |
| Bouman, Alice | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bouman, Alice | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burnside, Lee | Corporate Director · Individual | 0% | 1 facilities |
| Burnside, Lee | Corporate Officer · Individual | 0% | 1 facilities |
| Fang, Aaron | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Fang, Aaron | Adp Of The SNF · Individual | 0% | 4 facilities |
| Fuller, Elise | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Fuller, Elise | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kiernan, Janet | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Kiernan, Janet | Adp Of The SNF · Individual | 0% | 6 facilities |
| Pacific Retirement Services Inc | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pacific Retirement Services Inc | Adp Of The SNF · Organization | 0% | 9 facilities |
| Zaslavsky, Oleg | Corporate Director · Individual | 0% | 1 facilities |
| Zaslavsky, Oleg | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
54 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness25F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Create arrangements with other facilities to receive patients.
- F
List the names and contact information of those in the facility.
- F
Provide emergency officials' contact information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
Establish methods for sharing information.
- F
Establish staff and initial training requirements.
- F
Include a process for Emergency Preparedness collaboration.
- F
Establish an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Create arrangements with other facilities to receive patients.
- F
Provide emergency officials' contact information.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Include a process for Emergency Preparedness collaboration.
Smoke12F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services8F
- F
Install properly constructed and protected linen or trash chutes.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- F
Have elevators that firefighters can control in the event of a fire.
- F
Install properly constructed and protected linen or trash chutes.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
- F
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems4F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Egress3F
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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